If more space is required, use continuation sheet, Customs Form €063 — Cent. 
Customs Form 6068 
TREASURY DEPARTMENT 
May 1953 
Form approved. 
Budget Bureau No. 48-R263.2. 
BAGGAGE DECLARATION AND ENTRY 
^ 2 * 0 // 
(BEFORE FILLING OUT THIS DECLARATION, READ 
CAREFULLY INSTRUCTIONS ON BACK OF THIS SHEET) 
Port „ i*L_ — Arriving by 
I« -.l-V-tvi-tl 0 S.C-1 
t "" I \/\ (Brint your j 
- - -l T 
4 (City, Zone, ’ " J J ' 
States from M i W on ML i CiLZ 1«£S, and that I 
n 
-VlAin 
(Name of vessel, or registration mmrks of aiic&fy) J \ if j 
*-l-- » declare that my home address is Jii. £r A- 
J s ^ (Street apu number) ^ 
; that I am a resident of the country of ... 
* 0 ^ 
-^ar/-&3 5 that I am a citizen of . — Ua.iS— ; that I last left the United 
\fL/l. \\ // - j/ ^ 
44 19„4.wi and that I am accompanied by the following 
(Port) 
memher&_G£ my famity and household : 
P7 (Names and relationship by blood, marriage, of adopts 
Total pieces of baggage : — /_ Date of last previous arrival in the United States 
(Read carefully the instructions on other side of this form and the 
declarations below) 
DESCRIPTION OF ARTICLES 
(Gegenstande) (Articles) (Artieoli) (Artlculos) 
(ARTICLES OBTAINED FOR USE OF AND 
ACCOMPANYING PASSENGER) 
Q " 1 ' 
1 
<( 
- ----- 
<q| nji S„ . 5h_ O. bsiyilbl L L. w\_ . 
f / sJkovwV f - ^ S 
PRICE 
PAID, OR 
FAIR 
VALUE IF 
GIFTS, 
ETC. 
r 
Ui^er, 19-4^ 
2 tQuaa 
•*% 
U2C 
:23.4i. 
/j.^0 
A;„.£6 
3* * 5 o 
CAUTION!. LIST ARTICLES NOT ACCOMPANYING YOU IF FREE 
ENTRY UNDER RESIDENT'S EXEMPTION IS TO BE CLAIMED. 
t Slls/er /p/^- 
FOR CUSTOMS OFFICER’S NOTATIONS ONLY 
(Nur fiir Bemerkungjen der Zollbeamten) (Pour les employes de la douane seule- 
ment) (Da riempirsi solamente dagli ufflciali di dogana) (Solo para las anota- 
ciones de los empleados de aduanas) 
♦ - «. •*- , , 
V 
-V- 
ARTICLES I 
mim 
Value 
Rate 
rO 
..UJALvSi.c.y 
NUMBE 
C Vjft- 4-4 J&V 
QJLuU> 
- 3-4 
Duty 
-V 
\ 
-g-O 
3 - 
Cashier’s Stamp 
TOTAL DUTY OR FINE $: 
DECLARATION OF NONRESIDENT OF THE UNITED STATES 
I further declare that all articles contained in my baggage or on my person that are 
for sale, business purposes, gifts, or the use of others, or those articles which are not 
strictly personal effects, together with the purchase price or fair value if not obtained' 
by purchase, are listed above. 
(Signature) 
(ADDRESS IN THE UNITED STATES) 
Declared to before me , 19 , and 
baggage examined and found correct unless otherwise noted. 
Number of packages examined and number of 
stamps used 
Baggage stamps Nos. 
Inspector. 
DECLARATION OF RETURNING UNITED STATES RESIDENT 
I further declare that all articles contained in ray baggage or on my person, or in 
baggage or on the persons named above, however obtained abroad, together with 
the purchase price, or fair value for articles not obtained by purchase, are listed 
above; that such articles unless otherwise noted, were acquired incidental to the 
trip; that they are for the personal use of the persons named above, and that except 
as specifically stated hereunder, neither I nor any person for whom this declaration 
is made has claimed the $200 exemption during the 30-day period, or the $300 
exemption during the 6-montb period, preceding the date of this declaration. 
(Signature) 
VALUE AND DUTY AS NOTED ABOVE 
Appraiser’ s Examiner . 
_ Acting Deputy CoWr. 
